Page:United States Statutes at Large Volume 102 Part 1.djvu/809

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PUBLIC LAW 100-360—JULY 1, 1988

102 STAT. 771

"(C) by adding at the end the following new subparagraph: " *(B)(i) Subject to clause (ii), the Secretary shall place into effect a standardized electronic cost reporting format for hospitals under this title. " '(ii) The Secretary may delay or waive the implementation of such format in particular instances where such implementation would result in financial hardship (in particular with respect to hospitals with a small percentage of inpatients entitled to benefits under this title).'. "(2) EFFECTIVE DATE.—The amendment made by paragraph (I)(C) shall apply to hospital cost reporting periods beginning on or after October 1, 1989."; and (C) in subsection (c)— (i) in paragraph (1)— (I) by striking "3-year", and (II) by striking "contracting" and inserting "conducting"; (ii) in paragraph (2), by striking "by category of service and" in subparagraphs (A) and (B); (iii) in paragraph (2)(C), by striking "(by cat^ory of service)"; (iv) in paragraph (2), by striking subparagraph (D) and redesignating subparagraphs (E) through (L) as subparagraphs (D) through CK), respectively; (v) by amending subparagraph (D, as so redesignated, to read as follows: "(I) Bad debt and charity care."; (vi) in paragraph (2), by adding at the end the following: "The Secretary shall develop a definition of 'outpatient visit' for purposes of reporting hospital information."; (vii) in paragraph (5), by striking "paragraph (3)" and inserting "paragraph (2)"; (viii) in paragraph (5)(A), by striking "The terms" and all that follows through "as" and insertii^ "The term Ijad debt and charity care' has such meaning as"; (ix) in paragraph (5)(B)-— (1) by inserting "at least" after "to payors", (ID by striking "title VBI" and inserting "title XVra",and (HI) by striking "self-paying individuals" and inserting "and other persons (including self-paying individuals)"; and (x) in paragraph (6>— (1) by striking "$1,000,000 for each o f and inserting "a total of $3,000,000 for", (0) by inserting "or from operation funds" after "research funds", (HI) by striking ", and at least" and all that follows through 'operations funds" and inserting "and", and (IV) by striking "over 3 years". (7) SECTION 4008.—Section 4008(d)(l)(B) of OBRA is amended by striking "1886" and inserting "1886(d)". (8) SECTION 4009.—(A) Section 4009(a) of OBRA is amended—

42 USC 1395WW note. 42 USC 1395WW note.

42 USC 1395WW note. 42 USC 1395dd.

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